Organization Active NPI

Vision Plastics USA,Inc.

  • Eyewear Supplier
  • Anchorage, AK
National Provider Identifier
1407062516
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
236242 Issued in AK
Legal business name
VISION PLASTICS USA,INC.
Doing business as
ultra eyewear
Practice address
3500 Latouche St
Suite 100
Anchorage, AK 99508-4209
Phone
(907) 562-9777
Fax
(907) 562-2956
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Candelario Villanueva
Title
Owner
Phone
(907) 562-2845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 236242 AK Primary

Addresses

Primary practice location

3500 Latouche St
Suite 100
Anchorage, AK 99508-4209

Mailing address

3500 Latouche St
Suite 100
Anchorage, AK 99508-4209
Phone (907) 562-9777

Other identifiers 1

IdentifierTypeStateIssuer
OP1159MedicaidAK

Other names 1

  • ultra eyewear Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ultra Eyewear2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407062516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 LATOUCHE ST",
            "address_2": "SUITE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084209",
            "telephone_number": "907-562-9777",
            "fax_number": "907-562-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 LATOUCHE ST",
            "address_2": "SUITE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084209",
            "telephone_number": "907-562-9777",
            "fax_number": "907-562-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION PLASTICS USA,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "CANDELARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-562-2845",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AK",
            "license": "236242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OP1159",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ultra eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.